Han Soo Kim, MA in Lynnwood, WA - Medicare Counselor Provider

Han Soo Kim, MA is a medicare enrolled "Counselor - Mental Health" provider in Lynnwood, Washington. His current practice location is 4629 168th St Sw Ste E, Lynnwood, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 776-1290.

Han Soo Kim is licensed to practice in Washington (license number LH60971499) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033761408.

Contact Information

	Han Soo Kim, MA
	4629 168th St Sw Ste E, Lynnwood, WA 98037-8640
	(425) 776-1290
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Han Soo Kim
Gender	Male
Speciality	Counselor - Mental Health
Location	4629 168th St Sw Ste E, Lynnwood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033761408
Provider Enumeration Date: 07/15/2019
Last Update Date: 11/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9638520505
Enrollment ID: I20240105000414

Medical Identifiers

Medical identifiers for Han Soo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033761408	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH60971499 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Han Soo Kim allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Han Soo Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Han Soo Kim, MA 9102 Bridgeport Way Sw, Lakewood, WA 98499-2418 Ph: (253) 302-3826	Han Soo Kim, MA 4629 168th St Sw Ste E, Lynnwood, WA 98037-8640 Ph: (425) 776-1290

Reviews and Comments

Counselor in Lynnwood, WA

Christine Smith, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Suite 220, Lynnwood, WA 98036 Phone: 425-835-5871 Fax: 425-835-5855
Richard Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3810 196th St Sw Ste 11, Lynnwood, WA 98036 Phone: 425-288-4900 Fax: 425-248-4703
Mrs. Kirstie Lynn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw, Lynnwood, WA 98036 Phone: 425-835-5850
Leslie Catherine Olivia Bourgoin, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4807 196th St Sw Ste 220, Lynnwood, WA 98036 Phone: 425-835-5850 Fax: 425-835-5855
Miss Danielle Florence Honanie, CO60690975 Counselor Medicare: Not Enrolled in Medicare Practice Location: 3910 188th St Sw, Lynnwood, WA 98037 Phone: 425-329-9484
Mr. Camilo Espinosa Ballen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4111 Alderwood Blvd, Lynnwood, WA 98036 Phone: 425-977-2560

Han Soo Kim, MA - Medicare Counselor in Lynnwood, WA